Department of Budget and Management

**Please note that your answers on the supplemental questionnaire must correspond to the information provided on your application to receive credit. Applications that do not include a completed supplemental questionnaire will be considered incomplete and may be subject to disapproval.**

Do you possess a current license as a Pharmacist from the Maryland Board of Pharmacy?

If you answered Yes to the previous question, please provide the license number and expiration date in the box below.  A copy of your current license or license verification should also accompany your application.

Describe your experience as a registered pharmacist.

Please include name of employer, job title, dates of employment, and hours worked per week for each relevant position.  This experience must be reflected on your application.  If you do not have experience in this area, put N/A in the box below.

Describe your experience with Clinical Pharmacy and/or pharmacy claims processing.

This experience must also be included on your application (please include name of employer, job title, dates of employment and hours worked per week). If you do not possess this type of experience, please indicate N/A.

Describe your experience with specialty drugs, IV drug therapy and development and review of clinical criteria.

Please include name of employer, job title, dates of employment, and hours worked per week, this information must also be reflected in your application.  If you do not possess experience in this area, put N/A in the box below.